Unknown Individual – Family Medicine Physician, NPI 1487658746

Unknown Individual is a healthcare provider. based in Kalamazoo, Michigan. specializing in Family Medicine Physician. They hold a License No. 4301033841 (MI). The NPI Number for Unknown Individual is 1487658746

Main info

Organization
Inactive
55 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1487658746
Phone
(269) 385-4671
Address
6010 GULL RD
Deactivation Date
4 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1971 (55 years ago)
PAC ID
4981677754
Professional Enrollment ID
I20040827000091
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 6010, Gull Road, Richland, Charter Township of Comstock, Kalamazoo County, Michigan, 49048, United States

    KALAMAZOO, MI 490489452

    Phone: (269) 385-4671

    Fax: (269) 385-2657

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $783.

Total Amount is formed as General ($783) + Research ($0) + Ownership ($0) = $783.

Last reported payment date: 2024-07-03 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($198).

Total Amount

$783

General + Research + Ownership

Payments

46

Total payment records

General Amount

$783

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-03

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes353148$0
99214Established patient office or other outpatient visit, 30-39 minutes12488$0
83036Hemoglobin a1c level12060$0
36415Insertion of needle into vein for collection of blood sample9580$0
99213Established patient office or other outpatient visit, 20-29 minutes8664$0
View full utilization report →

Insurance plans in this area (ZIP 49048)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMI85610Blood test, clotting time10718

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1487658746 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Michigan?
You will see Kalamazoo, Michigan on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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